Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.07 / $186.91 / $1,090.72	Professional		$129.07	$186.91	$1,090.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.20 / $306.50 / $369.01	Professional		$295.20	$306.50	$369.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $118.60 / $172.73 / $361.64	Professional		$118.60	$172.73	$361.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $188.58 / $258.68 / $400.74	Professional		$188.58	$258.68	$400.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $241.34 / $312.32 / $408.73	Professional		$241.34	$312.32	$408.73
United Facility/Professional Professional Modifier Low / Median / High Price $165.92 / $235.73 / $396.32	Professional		$165.92	$235.73	$396.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $261.60 / $261.60 / $261.60	Professional		$261.60	$261.60	$261.60